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HomeMy WebLinkAboutHAZMAT INVENTORY 12/16/2008Unidocs - Uniform Documents ., ,;~~Wc'~, ~Zc'~C't~Q~~ ~.~~~~1~~~ ~#t~~l~'i~' ~#'1 ~~~ [~{ ~~~~'~ ~~. _~ ~. ~ .... ~ _~ ~ _.. ~ :~:~ _ ~ ~~+~ .~ .m ~ ~,~.'~ -. , .. ......~, < _ _ ...._ „ d . Page 1 of 2 Viewing/Updating Facility Information After modifying the faci lity informatian below, click 'Update Facility' to update the database. No Users Have Access to this Facility I. IDENTIFICATION FACILITY IDN: BEGINNING DATE (MM/DD/YYYY) ENDING DATE (MM/DD/YYYY) 15 _ ~~ 021~_..._~^' 002082,.~ ~ ~_...._ _~_....... k ~._..___~..__._...._.... ~ BUSINESS PHONE (#ilN) ###-NN#N BUSINESS NAME (Same as FACILITY NAME or DBA - Doing Business As) x##{!# FOOT & ANKLE INSTITUTE _„ ____ r 6616638483 ~~ ~~~ ~ BUSINESS SITE ADDRESS: 9300 STOCKDALE HWY .__...___-_____-.____.__.,__~ __ C~TY~ .,_._ . . .~_ _ ......~_ _a ~ _._ .,....._. _.~ __~_~_. ..... STATE: Z~P CODE: BAKERSFIELD __....~~.~.~..__.._ .......................__._... . . . . _ . . CA 93309 : : . . . .. ... .. . ..............................................._ DUN & BRADSTREET: ....._.......... _....._......_....... ...............~._._.. SIC CODE (4 digit ti): .~._..,......_ ....~..._. 1 .~____ ~ COUNTY: KERN BUSINESS OPERATOR NAME: ~ BUSINESS OPERATOR PHONE: (1t#ri) k#li-#k## x#f1Mk LINDA GREESON _ _...__ ___.____~_.~,~ __ _..~_ ___ _____ ~~ ..._. _._.~ II. BUSINESS OWNER OWNER NAME: OWNER PHONE: (##N) Nltli-#ttN# xtlNN# DR JOHN C ZIMMERMAN _..~..___.~.__........~__________ _ ; 6616638483 ~ __ __~.....~ ~.._...._............... OWNER MAILING ADDRESS: ._ _ _ _.._..... _... 9300 STOCKDALE HWY CITY: STATE: ~ ZIP CODE: ~ BAKERSFIELD ___......_.~.___ ~ _._____~ CA F 93309 __. ~... _~....___...~._~„_,.. __ ~ ~___.~_...,,..._.~.~._..____~._.__......~~ III. ENVIRONMENTAL CONTACT CONTACT NAME: CONTACT PHONE: (###) ###-N~k#N xN#k# LINDA GREESON _ ' 6616638483 ~ ~...~.~_. _. _....... CONTACT MAILING ADDRESS: 9300 STOCKDALE HWY ..~....__~.__ CITY: STATE: _~.~~..~..,,_._..._._ .............__~. ZIP CODE:~ BAKERSFIELD ~ CA y ~ 93309 ~ IV. EMERGENCY CONTACTS -PRIMARY- -SECONDARY- https://unidocs.ecointeractive.com/user/facility edit.asp?facility id=15-021-002082 11/24/2008 Unidocs - Uniform Documents NAME: LINDA GREESON TITLE: ~ BUSINESS PHONE: (N#Jl) tf##-ii~f## xN#1i# 6616638483 ' ~..._ .........................................._..._...._....... ...._...._. ~.....~__~ 24-HOUR PHONE: (N#il) M##-#JiNN x###k PAGERN: 6613454400 ' --____.__. ~, _.._._...__ ..__~ ADDITIONAL LOCALLY COLLECTED INFORMATION: NAME: LINDA GREESON TITLE: BUSINESS PHONE: (k#H) lftik-##~tM x#iik# 6616638483 ~ _..-.._...._.....~.....__ .....................~._..____......~,......... 24-HOUR PHONE: (ktik) #Nk-#!tk# xk##ti ~_.~_._____V.__.~ PAGER#: 6613454400 ww_ wW~ ~ Page 2 of 2 Certification: Based on my inquiry of those individuals responsible for obtaining the information, I certiTy under penaltyof law that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. DATE: (MM/DD/YYYY) ._.__~~_~..___~.__ _ _ ._...... . . ._..._wM ~ ~ ~_a NAME OF SIGNER: NAME OF DOCUMENT PREPARER: TITLE OF SIGNER: ~ ~ ~ UPCF(1/99 revised) Back.. to._Acti..v...ity__Selection OES FORM 2730 (1 /99) home ~ whaYs_new. ~ members..~ggncie.s ~ document~._and_services ~~~~r~h,_.~a..n...ido.~s ~ contact.us re(ated._.I..i.nks ~ t.r..a..ining a.n.d. meetin.gs For comments or questions regarding the HMIS project, contact the Q..n..I.in..e..D.ata.qa$g._Ad.m....i.n...is. tr.a..tpr.. hosted by Cj_ty_of Palo._Alto https://unidocs.ecointeractive.com/user/facility edit.asp?facility id=15-021-002082 11/24/2008 . John C. Zimmerman, DPM, FACFAS '~ ~ Scon R. Davis, DPM, FACFAS ~ti, ~~.~ ~~..~ ~ John L. Etcheverry,DPM, FACFAS ~ ~ v,_ -~ _ ~ ~ i ~ _'~ . ~ '~" ~ ~a~ c~' ~,.a,~ . ~ . ' .~ ` 1..~ . FOOT & ANKLE INSTITUTE ~,~ `~,,',~.. A Podiatric Medicul. Group ~ vl-`~ ~J`~ `' ~-~- ~ N~T~ 33~~3 _ , ~ . ~ December 16, 2G08 To Whom It May Concern:. ~ This letter is to confirm as per~discussion earlier this month with Manar Haddad, that we ' no longer have X-ray developing chemicals im our facility. Since the end of March 2008, we process or ~X-rays digitally on the computer. . If you have. any questions or concerns, please do not hesitate to contact me: ~ ~ ~ Sin , ~. . ~ ' v~ . .~ • Lynda M Greeson, MA, RT . Treatmenf Manager ; ~ ; .,.. ,r;• ' ~ .. • ~ . ~7, .:!~.. }J . . . '~;~.., . . . . `~ . ~: . . `• . r„' >1"j, :.. ' .. ... .., : ' 9300 Stockdale Highway, Suite 400 •~ Bakersfield, CA 93311 • Office: 661.663.8483 .•. Fax: 661.663.3095 . . 20211 Valley Boulevard ' Tehachapi, CA 93561 • Office: 661:822.5537 • Fax: 661.822.4307 ~ www. footandankleinstitute. net